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Finance, Revenue Cycle

On the Road to Risk, Summit Medical Group is Driving in the Fast Lane

October 2, 2018  |  Rajiv Leventhal, Managing Editor
article
In a recent interview with Healthcare Informatics, Jeffrey Le Benger, M.D., outlined the progress and evolution of his organization and how it’s continuing to plunge ahead into the world of risk and value-based care.

Survey: EHRs, Value-Based Care Causing Docs to Sour on Profession

October 1, 2018  |  Rajiv Leventhal, Managing Editor
news
Seven out of 10 physicians are unwilling to recommend their chosen profession to their children or other family members, with frustrations over EHRs and value-based care ranking as key reasons why.

What to Expect Next from CMS Regarding the Proposed ACO Rule

October 1, 2018  |  Lynn Barr, Industry Voice, CEO and Founder, Caravan Health
article
In the accountable care community, we’re all anticipating the potential impacts of the recently proposed Medicare Shared Savings Program (MSSP) ACO (accountable care organization) rule.

How Blockchain Technology Can Revolutionize Healthcare

September 26, 2018  |  David Hanekom, M.D., and Pradeep Goel, Industry Voices
article
How do providers get better access to patients, deliver the best possible care, and get paid for their services in an accurate and timely fashion? The answer could be found in blockchain.

NAACOS, AMA, Others Urge CMS to Reconsider MSSP Proposed Changes

September 21, 2018  |  Rajiv Leventhal, Managing Editor
news
NAACOS and eight other healthcare stakeholder groups have sent a letter to CMS, expressing concerns about the federal agency’s proposed changes to the Medicare Shared Savings Program.

On Capitol Hill, Healthcare Leaders Raise Concerns with CMS’ Proposed ACO Rule

September 17, 2018  |  Heather Landi, Associate Editor
article
During a House subcommittee hearing, healthcare leaders voiced concerns that CMS' proposed changes to the MSSP ACO program will impede progress in the transition to value-based care.

Leading ACO Group: CMS is Calculating ACO Savings the Wrong Way

September 11, 2018  |  Rajiv Leventhal, Managing Editor
article
The Medicare Shared Savings Program generated gross savings of $1.84 billion for Medicare from 2013 to 2015, nearly double the $954 million estimated by CMS, according to a new analysis.

Report: Elliott Leads in athenahealth Takeover Bid as Cerner, UnitedHealth Pass

September 7, 2018  |  Rajiv Leventhal, Managing Editor
news
Elliott Management is the favorite to win the athenahealth takeover bid now that Cerner and UnitedHealth have declined an opportunity to acquire the health IT company, according to a report.

In the Emerging World of Risk-Based Contracting, Data Analytics Is a Foundational Necessity

September 7, 2018  |  Mark Hagland, Editor-in-Chief
article
With the emergence of more risk-based contracting, including two-sided risk, data analytics has now become fundamental to patient care organizations’ operational and financial success.

Top Ten Tech Trends 2018: Markets and Medicine—Where Do Physicians Land, in the Emerging World of U.S. Healthcare?

September 5, 2018  |  Mark Hagland, Editor-in-Chief
article
Even as the purchasers and payers of healthcare push hard on physicians to embrace value-based care delivery and payment, doctors remain conflicted and ambivalent about the new healthcare.

Is it Fair to Question CMS’ Agenda for Releasing ACO Results?

September 4, 2018  |  Rajiv Leventhal, Managing Editor
commentary
There is much debate on how one-sided risk ACOs are performing as new CMS data has been released

Top Ten Tech Trends 2018: Are the Lines Between Provider and Payer Organizations Beginning to Blur? To Some, That Would be Progress

September 4, 2018  |  Mark Hagland, Editor-in-Chief
article
As physician-based and hospital-based organizations plunge further into risk-based contracting, managing the contracts and the processes is turning out to be highly challenging for everyone.

MSSP 2017 ACO Results Touted by NAACOS, Mostashari

August 30, 2018  |  Rajiv Leventhal, Managing Editor
news
The Centers for Medicare & Medicaid Services (CMS) today released results for how the 472 Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs) performed in 2017.

PODCAST: Dr. Rita Numerof on CMS’ New ACO Proposals: “It’s Been a Long Time Coming”

August 23, 2018  |  Rajiv Leventhal, Managing Editor
article
A prominent healthcare consultant weighs in on a new regulation that could shake up the ACO landscape.

Execs Gearing Up for Blockchain Investments, Report Finds

August 22, 2018  |  Rajiv Leventhal
news
A cross-industry survey on blockchain of some 1,000 business leaders, conducted by Deloitte, found that most global executives see great value in blockchain’s potential to reinvent processes across the business value chain,.

CMS’ MSSP Proposed Changes Slammed by Leading ACO Organization

August 10, 2018  |  Rajiv Leventhal
article
The National Association of ACOs called CMS’ proposals to redo the MSSP “misguided,” noting that the changes, if finalized, “will upend the ACO movement by creating havoc with a significant overhaul introducing many untested and troubling policies.”

BREAKING: CMS Proposes Sweeping Changes to MSSP ACO Program

August 9, 2018  |  Rajiv Leventhal and Heather Landi
article
The Centers for Medicare & Medicaid Services (CMS) is proposing a new direction for ACOs (accountable care organizations) in the Medicare Shared Savings Program (MSSP), with the goal to push these organizations into two-sided risk models.

Dr. David Nash on Population Health: Physicians Don’t Grasp It

August 6, 2018  |  Rajiv Leventhal
article
David Nash, M.D., one of the best-known pioneers in the world of population health management and related areas, discusses the population health landscape with Healthcare Informatics

In Virginia, Centra Health Surges Ahead in its IT-Based Push to Value

July 25, 2018  |  Rajiv Leventhal
article
Two of the health system’s executive leaders recently spoke with Healthcare Informatics about Centra Health’s value-based care journey and how IT is playing a key role.

Has the Value-Based Care Train Stalled?

July 19, 2018  |  Rajiv Leventhal
commentary
When pondering the question of if the value-based care train has stalled, the answer will depend on which side of the healthcare stakeholder table you are asking—payers or providers.

New Blockchain Company Has Own Cryptocurrency Payment System

July 11, 2018  |  Rajiv Leventhal
news
A new blockchain company attests that it has its own cryptocurrency payment system, with the goal to restore and optimize patient-provider relationships.

The 2018 Healthcare Informatics 100 Product Breakouts

July 5, 2018  |  the Editors of Healthcare Informatics
article
As part of Healthcare Informatics 100 questionnaire, vendors were asked to estimate the percentage of revenue earned in each of their product segments sold. Inside, we reveal the top 5 companies by revenue within seven different categories.

GE to Spin Off Healthcare Unit as Separate Company

June 26, 2018  |  Rajiv Leventhal
news
General Electric (GE) will spin off its healthcare unit and operate it as a separate company, senior executives announced today.

Analysis: Early Years of VBP Models Show Limited Impact on Reducing Cost of Care

June 25, 2018  |  Heather Landi
news
The penetration of population-based value-based payment models is not yet having an impact on curbing growth in total cost of care, according to a new analysis by the Healthcare Financial Management Association (HFMA), Leavitt Partners and McManis Consulting.

CEO and CIO Priorities for Tech-Enabled Healthcare

June 21, 2018  |  Jason Fortin, Impact Advisors
article
During the recent 2018 Scottsdale Institute Annual Conference, a group of 22 CIOs from leading health-delivery organizations across the country gathered to discuss their CEOs’ top IT-related priorities. From that discussion, five key themes emerged.

What Does the Future Hold for athenahealth, and Its Customers? Industry Insiders Weigh In

June 19, 2018  |  Heather Landi
article
With new leadership coming in and a potential sale on the horizon, athenahealth is facing significant changes. Healthcare industry insiders weigh in on the company's possible suitors and how the changes could impact the company's customers.

Value-Based Care is Bending the Cost Curve, Report Finds

June 18, 2018  |  Rajiv Leventhal
news
Value-based care is bending the healthcare cost curve, reducing unnecessary medical costs by nearly 6 percent on average while also improving care quality and patient engagement, according to new research from Nashville-based Change Healthcare.

Taking a Deep Dive into the Healthcare Informatics 100—and the Health IT Market, Broadly

June 14, 2018  |  Michelle Mattson-Hamilton and Ben Rooks, ST Advisors
article
Executives from ST Advisors take a deep dive into the 2018 Healthcare Informatics 100 and weigh in on the biggest market deals of the past 18 months

Making Inroads into Telehealth: How One “Sub-Sector” of Healthcare Continues to Evolve (Part 1)

June 13, 2018  |  Rajiv Leventhal
article
In Part 1 of a two-part feature on the telehealth landscape, a partner at Alston & Bird discusses how providers are—and will continue to—fight through the many barriers that exist in the telehealth landscape.

Data and Cybersecurity Investments Ramp Up as Threats Reach All-Time High

June 12, 2018  |  Rajiv Leventhal
news
Companies are quickly ramping up investment in data and cybersecurity as they look to become more compliant with new data privacy protection and security regulations—and to avoid highly damaging data breaches, according to the 2018 Harvey Nash/KPMG CIO Survey.

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